99-104202CITY OF FEDERAL WAY
33530 F i rs t Way South
Federal Way, WA 93003 Mechanical Inspection Requests 253--661-+140
253-661-4000
ADDRESS:32620 1ST PL_ S
NO.: 701680-0000
PROJECT DESCRIPTION:HVAC - FIRE PLACE INSERT WITH PIPING �
r= OWNER =::_ _ ______ -:__ ____ ___________________________ ____= CONTRACTOR
ALBERT GAVIGLIO, SR FF
E 32620 1ST PL S V Lli n Q
FEDERAL WAY WA 98003
253/874-5715 ,
# CONTRACTORS, P EASE USE LOCATION COyE 11,72 EEN POyTING S
PROTECT VALUATION 420
FUEL TYPES.:GAS GAS FANS............ C S/COMPRESSORS
GAS PIPING.: 30 ft HOOD..........: J ;
FURN<1O0K..: 0 DUCT WORK...,.: u
GAS HWT..... 0 WOOD
CONV BURNER: 0 FURN>lOUK.....:
BBQ........: 0 MISC..........:
GAS DRYER..: 0 AIR HANDLING UNI ---
RANGE ...... : 0 <:10,000 CFM: ABOVE GR UN
GAS LOGS...: 1 > 10,000 CF - UNDERGRO
Does the water supp'1,,;_ �_ :�o - = ur=== _. an.
Dke-7k,
Inspect Rico a 'ca',Wgh ----------- _ Da
A AL
9q-Ioyaoa-
PERMIT NO: MEC99-0378
ISSUED: 10/28 9
I3Y • 2
EXPIR- . 04/24/00
WITHIN THE CITY OF FEDERAL WAY.
FEES:
MECH PERMIT FEE
TAX RATE : 8.25#;
i
TOTAL FEES $ 2
Yes ( ) No (If "Yes" then water expansion tank is required on Hot
Gas iping---------------- Date -_--------
PERMITS EXPIRE 182AFTER ISSUANCE !r,,NO WORK IS STARTED.
I CERTIFY TRE MAT URNISHED BY IS TRUE A4D TO THE BEST OF MY KNO#LEDGE AND THE APP!TtABLE (TTY rF rE"ERAL RAY REQUIREMENTS WILL BE MET.
PWNER O. :,GENT �� ��
FILE COPY
PARCEL #
SITE LOCATION
Tenant/Owner /1 L
RECEIVE®
OCT 2 91999
CITY OF FEDLHAL VVAY
BUILDING DEPT.
APPLICATION FOR MECHANICAL PERMIT
Federal Way Business License number:
Single Family
Jx
BUIMING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
MEC <h - 0 � To
Multi -Family ❑ Commercial ❑
,o5_3 -- 8 7 5/ - -5 7 /S
Phone Z,� L - rU�U � — �2i 9 7
Address/City/State/Zip D2 20 —
_ CjCG
Nature of Work -5 12 n / /V ` / /Z wlA C LS Project Valuation: $ q ZD '
APPLICANT
Name SA �-yi �J YJC> tJ
Address/City/St/Zip
Contact Person
MECHANICAL CONTRACTOR
Company Narne.--bo
Address/City/St/Zip
Contact Person
Phone Fax
Phone
Fax
State L & I Contractor Registration # Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling
<= 10 000cfm
Fuel Tanks:
Length of gas piping
Range
Air Handling
> = 10 000cfm
Above Ground
Fum <100K BTU's
Gas Log
Unit Heater
Underaround
Fum > 100K BTUs
Fans
Boiler
BTU/H
Miscellaneous
Gas Hvvt
I Hood
Boiler
BTU/H
Other
Conv Burner
Dud Work
A/C
TONS
Other
Wood Stoves
A/C
TONS
DISCLAIMER: I certify, under penalty of perjury, that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the undersigned, and filed against the City of Federay Way but only where such claim arises out of the reliance of the city, including its officers and employees, upon die accuracy of the
information sunDlied to the citv as a Dart of this andlicafi.n. o i ---
Owner/
Wcm APP
PE,' -I/7/
--2
Date 10�L 2 51
L CX I Y OF F EDERAt_ WAY �i t
3:3530 FJ.rst Way South M i��,,,,[1A I OL PERMIT'
F'eder'al Way, WA 98003 Mechat1ic:al lnspeetion RegUe l.s 253--661-41.40
253-661--4000
ADDRESS:32620 IST PL S
NO.: 703.630'-C_OOO
PROJECT DESCRIPTION : MVAC - FIRE PLACE INSERT WITH PIPING
(MINER
ALBERT GAVIGLIO, SR
32620 IST PL S
FEDERAL NAY WA 98003
253%874-5715
sn
CONTRACTOR mms mrmmxa
Ow ney-
9q-,o y.2a d
PERMIT NO: MEC 9-037£3
ISSULD: 10/28/99
BY: F=C`
EXPIPE:S : 04/24/00
LENDER....=...�1=
.fit :'e.„�^ -» �a.aa.,w..:.::'vrtx.;._.z€#�a+rtazrassact�YemKtF;&Jaz_._.a:.-.:-<:esxss«:mzrmmte+irtawme:m;t6sFssu;sma:a�:m:;zawss:�'ma�m.:maxaasuacxeaaa:avms�r :ssssnsss��rfxmmm
OLEAIA USE LOClk!JON ,lt .� IiK SES TAX FOR PROJECTS MITNIN Tib CITY OF FERAL MAY. TAX RATE : 8.25 Us
PROJECT VALUATION
420
Date
FUEL TYPES.:GAS GAS
FANS. R....,::
C
GAS PIPING.:
30 ft
MOOD. ...:.:
0
FURN(1OOt..:
0
DUCE Nt}NK....:
0 ;
GAS NWT....:
0
WOOD STOVLPj..:
O
CONY BURNER:
0
FURN401.....:
0
084.........
0
MISC...........
0
GAS DRYER—:
0
AIR, HAND11K UNTIE-
RANGE......:
0
(=10,000 CFM:
0
GAS LOGS...:
1
> 10,000 CFM:
ii
0•j TON, ..
3-15 TON. 0
15-30 104_: 0
M -5O TON.... O
St?+ Tow.....: 0
FUEL TANKS --_....__
ABOVE GROUND: O
UNDERGROUND.: 0
:e.ma __......_._ a._._r..,..... ..,,.....,...........sss�.
fEES:
Mrs"A PERMIT FEE = 23.50
TOTAL FEES $ 23.50
�..k...T..lR YJIIRI'7.3'R$'ID.::Sri_-t:f�3L"iS=M.O4V. =X-- . A.._..."I-;t1,:3..SFJ:`:4=A.Z......::{... ..:.'g.....W.1%..:Ad:«M!"S.LtY':Y:L765L:.GC?01:tPY.. =.#. = I... YIDS.:
Does the water supply system contain a Pressure Reduction Device or Check valve' (} Yes ( ) No (If "Yes* then water expansion tank is required on Not Nater Tank)
Inspection Record: Mechanical
Rough -in _ _ _
Date
Gas Piping Date le -- 2_9
MECHANICAL
FINAL
Dale
PERMITS EXPIRE too GAYS AFTER ISSURIKE IF.,aIO TRK IS STAPIEP.
T CERTIFY TNI: IMFORMATj,ON URNISKb IV,* I5 TRUE ANA CORRECT TO INE NEST OF NY KNOWLEDGE AND INt APPLICANLE CITY Of FENERAL MAY RLQUIREMLNIS MILL 8f MET.
,OWNER OR AGENT_ lC ,1�1..��c..,�s. _ _. _ DATE
ti
FIELD COPY
WYOFG BUILDING DIVISION
• 33530 1st Way South
EDFederal Way, WA 98003-6210
253-661-4000
CONSTRUCTION ALERT
Permit #: M G C -e1 I - 0 3 Tr Address: 2 6c � t� I
For your information:
Z4 QDate Inspector